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4 ELECTRICAL PERMIT APPLICATION <br /> r CITY OF EVERETT PERMIT SERVICES rEr <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 j FAX 425-257-8857 j (E) everetteps@everettwa.gov j wvvw.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:4403 Ridgemont Dr <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF _ <br /> BUILDING TYPE: ❑✓ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS ❑ COMMERCIAL <br /> USE OF BUILDING: <br /> ELEC\rRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $1000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: 1 CIRCUIT FOR AC: UNIT <br /> CONTACT INFORMATION <br /> OWNER NAME: Mark Olson TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET4403 Ridgemont Dr <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE:(425)750-4847 OWNER EMAIL:mark@mgolsonlaw.com <br /> CONTRACTOR NAME:Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St SW <br /> CITY Lynnwood STATE WA ZIP 98036 <br /> CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):WASHIES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054773 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> NIKKI HYETT-SCHNELL CONTACT EMAIL:NHYETT-SCHNELL@WASHINGTONENERGY.COM <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> � <br /> 08/01/2019 E ( jV?) b n <br /> Owner/Aut .razed Agent Signature Date (Revised 10/12/2015) <br />